Kraig M. Holtorf in Ozark - Physician Assistant
Kraig M. Holtorf - NPI 1417096058
Kraig M. Holtorf is a Physician Assistant in Ozark, Missouri. Kraig M. Holtorf practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kraig M. Holtorf is 1417096058. The last update date is 2013-10-15.
Kraig M. Holtorf's current location address is 3050 E River Bluff Blvd, Ozark, Missouri. You can contact this provider via phone number 4178295610 and fax number 4178295588. The mailing address for Kraig M. Holtorf is 3050 E River Bluff Blvd, Ozark, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kraig M. Holtorf |
|---|---|
| Address | 3050 E River Bluff Blvd, Ozark, Missouri |
| Phone Number | 4178295610 |
| Fax Number | 4178295588 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417096058 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2013-10-15 |
Provider Mailing Address Detail
| Address | 3050 E River Bluff Blvd |
|---|---|
| City | Ozark |
| State | Missouri (MO) |
| Post Code | 657218807 |
| Phone Number | 4178295610 |
| Fax Number | 4178295588 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2002023840 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kraig M. Holtorf by the Centers for Medicare & Medicaid Services?
The Kraig M. Holtorf has been issued the NPI (National Provider Identifier) 1417096058 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kraig M. Holtorf?
The Kraig M. Holtorf is situated at 3050 E River Bluff Blvd, in the city of Ozark, state of MO, with the zip code 657218807.
What is Kraig M. Holtorf's area of expertise and its corresponding taxonomy classification?
The Kraig M. Holtorf's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kraig M. Holtorf receive the assignment of its 1417096058 from the Centers for Medicare & Medicaid Services?
The Kraig M. Holtorf was issued its 1417096058 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date was the information pertaining to Kraig M. Holtorf, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kraig M. Holtorf, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-15.